| NPI | 1265697239 |
|---|---|
| Doing Business As | SMILE SHOP |
| Entity Type | Organization |
| Authorized Contact | SHAILESH K PATEL President 951-551-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 40705) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |